This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics. This data represents the outcomes of IVF cycles when using a person's own eggs.
For more information please see our FAQs.
Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.
From the moment I had a consultation with Dr. Morin, I knew I was making the right decision to proceed with him...I never felt rushed in appointments...took his time, was compassionate, explained things well, and called to check on me..compassionate and kind, and I felt like he truly wanted to get to know me as a patient...meeting with him for every appointment...I have PCOS...retrieving 47 eggs, 31 were mature and 30 fertilized. We ended up with 5 embryos
RMA's strength is their providers, nurses and support staff and their communication and organization. If I had a question, it would be answered almost immediately in the Spruce App. Everyone is knowledgeable, happy and super friendly. I don't feel like I ever interacted with anyone on a "bad day"...support staff and nurses are just as amazing, and you can tell everyone values great communication at this clinic.
How was your experience with Scott Morin at RMA of Northern California?
I had originally started with another local, well known fertility doctor. After a few failed IUIs and timed cycles, we knew we should proceed with IVF and I had a consultation with Dr. Morin. From the moment I met him, I knew I was making the right choice of moving to this clinic under his care. He was compassionate and kind, and I felt like he truly wanted to get to know me as a patient. Since I saw Dr. Morin in the Danville office, I had the privilege of meeting with him for every appointment, and I was even lucky enough to have him on my retrieval day! I normally have anxiety with new doctors, but with him I always felt relaxed and in great hands. When I describe him to people, I always say "He is just a kind, compassionate human, there is no better way to describe him." If I could give him a thousand stars, I would.
What's one piece of advice would you give a prospective patient of Scott Morin at RMA of Northern California?
Don't hesitate to make an appointment or consultation with him. I don't think you'll be disappointed.
During treatment, were you treated like a number or a human with Scott Morin at RMA of Northern California?
From the moment I had a consultation with Dr. Morin, I knew I was making the right decision to proceed with him. I never felt rushed in appointments, he took his time, was compassionate, explained things well, and called to check on me. His support staff and nurses are just as amazing, and you can tell everyone values great communication at this clinic.
Describe the protocols Scott Morin used in your cycles at RMA of Northern California and their degree of success.
I have PCOS so I always had a lot of follicles at baseline, and we assumed they weren't the best quality. My Protocol was 200 Gonal and 75 Menopur for 10 days, with two days of trigger Lupron shots. We also added in Cetrotide for the last 3 or 4 days. We ended up retrieving 47 eggs, 31 were mature and 30 fertilized. We ended up with 5 embryos (four day 6's and one day 7) - all of those embryos came back genetically normal. I was shocked as I am 36 years old.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: April)
The nursing staff at RMA has phenomenal communication. My nurse, April, always responded on their Spruce App within an hour or so. If she was out, there was someone who was able to respond for her.
Describe your experience with RMA of Northern California.
RMA's strength is their providers, nurses and support staff and their communication and organization. If I had a question, it would be answered almost immediately in the Spruce App. Everyone is knowledgeable, happy and super friendly. I don't feel like I ever interacted with anyone on a "bad day".
Describe the costs associated with your care under Scott Morin at RMA of Northern California.
We had insurance that covered one round, but the price sheet provided to insurance listed the cost as $18,700 or so. Medication was separate and ours cost ~$4,000. We also paid separately for PGT-A, which was $300 an embryo.
Describe Scott Morin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
We are still waiting to start our first embryo transfer.
What specific things went wrong at RMA of Northern California?
Failed to call with results
Describe the specific things that went wrong at RMA of Northern California.
The only setback I had was it originally took us over a week to receive our lab results back after our first blood draw. I know that the results were ready sooner because I had checked the lab's website and they were ready 3 or so days sooner. Not a huge deal, and I believe my nurse was out then, so that may be the reason for the delay.
Dr. Shapiro is very compassionate and thorough. She took the time to make sure I understood all of the terminology and explained every step of what an egg retrieval would look like by drawing me a diagram. I felt like I had enough time to ask follow-up questions and process all of the information I was receiving without feeling rushed. I appreciate Dr. Shapiro's ability to be direct in a very comforting manner, it was very helpful in setting my expectations.
RMA in Danville is a very clean and modern -looking office. The parking is very convenient and there is never too much of a wait to be seen. Everyone is super friendly. The building is fairly small, so it is easy to find the office...Everyone is amazing. Extremely responsive and knowledgeable. Everyone made me feel very comfortable and heard...Dr. Shapiro took the time to make sure I understood everything. She gave me multiple opportunities to ask questions and gave me very thorough answers. She even took the time to draw a picture of what an Oocyte retrieval looks like from start to finish.
How was your experience with Alice Shapiro at RMA of Northern California?
Dr. Shapiro is very compassionate and thorough. She took the time to make sure I understood all of the terminology and explained every step of what an egg retrieval would look like by drawing me a diagram. I felt like I had enough time to ask follow-up questions and process all of the information I was receiving without feeling rushed. I appreciate Dr. Shapiro's ability to be direct in a very comforting manner, it was very helpful in setting my expectations. I tend to be a pretty nervous person when it comes to the unknown but during my ultrasound, she made sure to walk me through everything she saw and checked to make sure I was doing okay throughout. She made an experience I fully expected to be uncomfortable very comfortable. I left our consultation feeling much better than I felt coming in.
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
Dr. Shapiro took the time to make sure I understood everything. She gave me multiple opportunities to ask questions and gave me very thorough answers. She even took the time to draw a picture of what an Oocyte retrieval looks like from start to finish.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Sophia Parsons)
Everyone is amazing. Extremely responsive and knowledgeable. Everyone made me feel very comfortable and heard.
Describe your experience with RMA of Northern California.
RMA in Danville is a very clean and modern -looking office. The parking is very convenient and there is never too much of a wait to be seen. Everyone is super friendly. The building is fairly small, so it is easy to find the office.
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
I was really impressed with Dr. Shapiro's ability to customize my treatment to my needs and goals. I was a difficult case, someone with very severe diminished ovarian reserve and a genetic issue. I came to Dr. Shapiro after doing 6 cycles at another clinic (all failed). She was willing to take me on, was honest and upfront about our chances while still providing us with hope it could work for us. During the cycles led by Dr. Shapiro, she was at most of my appointments, was very caring and warm, and shifted my treatment plan with each appointment as needed. I could tell she kept up to date with the very most current research and was so knowledgeable on other things we could try, which I didn't see in my past clinic. Under her care, I am now pregnant with a healthy baby, something I was beginning to lose hope was ever possible.
I am in the East Bay, which made their [RMA of Northern Califonrnia] new Danville location very convenient. I do wish the clinic was open on the weekends (instead of having to drive into their SF location on the weekends for monitoring / transfers) but that was not a deal breaker for me. The clinic was very organized, clean, and has amazing staff all around...The nursing staff was also amazing, they are so caring and empathetic and hold hope for all of their patients.
How was your experience with Alice Shapiro at RMA of Northern California?
I was really impressed with Dr. Shapiro's ability to customize my treatment to my needs and goals. I was a difficult case, someone with very severe diminished ovarian reserve and a genetic issue. I came to Dr. Shapiro after doing 6 cycles at another clinic (all failed). She was willing to take me on, was honest and upfront about our chances while still providing us with hope it could work for us. During the cycles led by Dr. Shapiro, she was at most of my appointments, was very caring and warm, and shifted my treatment plan with each appointment as needed. I could tell she kept up to date with the very most current research and was so knowledgeable on other things we could try, which I didn't see in my past clinic. Under her care, I am now pregnant with a healthy baby, something I was beginning to lose hope was ever possible.
What's one piece of advice would you give a prospective patient of Alice Shapiro at RMA of Northern California?
One thing I learned in general going through IVF, find out as much information as you can upfront. Ask any and every question. Dr. Shapiro was always willing to meet with me to answer questions and talk through next steps, whether in the office or over Zoom. Take advantage of that so you don't get months down the line and wonder why you hadn't asked something / tried something / etc.
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
Dr. Shapiro always treated me like a human. She knew and understood my case really well (which was a difficult one). She felt for my husband and I, was always extremely empathetic, and was willing to try new things even when they were low statistical chances because she worked with me like an individual, not just a number or statistic for the clinic.
Describe the protocols Alice Shapiro used in your cycles at RMA of Northern California and their degree of success.
We tried a few different things, but in the cycle that worked best for us, we did a duo-stim cycle on lower-dose injectable meds. The reason for this was my very diminished ovarian reserve & my historical response in previous cycles.
Describe your experience with your nurse at RMA of Northern California.
My care coordinator was always quick to respond, which I REALLY appreciated. I got an almost immediate response on any question or feedback, which you don't get from any other doctor (outside of fertility world) these days! The nursing staff was also amazing, they are so caring and empathetic and hold hope for all of their patients.
Describe your experience with RMA of Northern California.
I am in the East Bay, which made their new Danville location very convenient. I do wish the clinic was open on the weekends (instead of having to drive into their SF location on the weekends for monitoring / transfers) but that was not a deal breaker for me. The clinic was very organized, clean, and has amazing staff all around
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
I was lucky to have insurance coverage. Without it, it was quite expensive, I believe would be around $20-30K per cycle (which is typical in the Bay Area based on other clinics I've been to as well)
Describe Alice Shapiro's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
I am unsure, I believe the clinic prefers single embryo transfers.
Dr. Shapiro is knowledgeable about the latest research and treatments. If I heard of other treatment options, I felt comfortable filtering them thru her and trusted she would guide us in the right direction. Dr. Shapiro also took special care to let us know, which doctor would be on site for egg retrieval and transfer and assured us we would be in good hands. Additionally, she was always responsive via Spruce and was the main doctor that followed up with us on all our results.
The [RMA of Northern California] clinic is clean, organized and well stocked with pads! I very much appreciated the latter! RMA only advises patients to do single embryo transfers, so if you want multiple embryos transferred at once this isn’t the place for you. All the doctors work great together and provide the best cross coverage. I never questioned who was doing my retrieval and transfer. I really felt like I was in the best care.
How was your experience with Alice Shapiro at RMA of Northern California?
Dr. Shapiro is knowledgeable about the latest research and treatments. If I heard of other treatment options, I felt comfortable filtering them thru her and trusted she would guide us in the right direction.
Dr. Shapiro also took special care to let us know, which doctor would be on site for egg retrieval and transfer and assured us we would be in good hands. Additionally, she was always responsive via Spruce and was the main doctor that followed up with us on all our results.
What's one piece of advice would you give a prospective patient of Alice Shapiro at RMA of Northern California?
Expect to be actively involved in the decisions made during your treatment. Dr. Shapiro provides you with background about all the options available, but never forces a direction. I always made a point to ask her what her preference was and that helped me gauge what to do.
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
Dr. Shapiro was always kind and attentive to my needs and questions. She provided insights into alternative solutions and made me an active member of the decision making process. She remembered my history when I was a patient of hers in Kaiser and was always compassionate with us as it relates to our pass lost.
Describe the protocols Alice Shapiro used in your cycles at RMA of Northern California and their degree of success.
We committed to IVF and during our first month with Dr. Shapiro she advised that we put off our cycle for a month given the fact that I had a few cysts that could reduce the number of eggs retrieved. We are so glad we waited, because when we did start we retrieved 27 eggs. Dr. Shapiro also advised us to go thru with ICSI for th best results.
Dr. Shapiro also did a great job adjusting our meds based on follicle checks and blood tests and always explained why.
She also recognized that progesterone injections can be rough for some people, so leading up to and post transfer she had me on progesterone suppositories.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Alizea Perez)
I primarily spoke with the staff thru spruce. They were always responsive and attentive.
Describe your experience with RMA of Northern California.
The clinic is clean, organized and well stocked with pads! I very much appreciated the latter!
RMA only advises patients to do single embryo transfers, so if you want multiple embryos transferred at once this isn’t the place for you.
All the doctors work great together and provide the best cross coverage. I never questioned who was doing my retrieval and transfer. I really felt like I was in the best care.
Describe your experience with your monitoring appointments at RMA of Northern California.
I loved that the monitoring appointments were in the early mornings hours, which prevented me from having to over explain things at work or take time off.
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
About $30K give or take
Describe Alice Shapiro's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
Dr. Shapiro stuck around to ask if I had any questions and explained the medications to me until I was sure I understood...ask questions she is very friendly and helpful and smiles a lot and is excited for your journey...3 IUI cycles which were unsuccessful...IVF cycle went great and we got 4 healthy embryos
[RMA of Northern California] Strengths...online app, their patience and understanding...friendly nursing staff at the Danville location...doctors at every location are good....nurses for the IVF egg retrieval were great...Weakness: Nursing staff and receptionist are less friendly at other locations
How was your experience with Alice Shapiro at RMA of Northern California?
She takes her job very seriously and chooses her words wisely, which some may find off putting, but I understand that she just wanted to make sure what she was saying came across very clear with no communication issues or confusion to what is going on. She takes her job very seriously and her goal of getting you pregnant very seriously so she takes a more serious approach which some may see as unfriendly but I view it as professional and up-front. When asking questions she is much more open and friendly but when giving you the facts of where you are she is very serious. If you ask questions she is very friendly and helpful and smiles a lot and is excited for your journey.
What's one piece of advice would you give a prospective patient of Alice Shapiro at RMA of Northern California?
She is very passionate about her job and any questions you have ask even the silly ones or even questions about your treatment and if there is a different approach you want to take.
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
I saw multiple doctors while at this clinic and while some just called me in did their thing and left, Dr. Shapiro stuck around to ask if I had any questions and explained the medications to me until I was sure I understood it. She let me know if everything was proceeding normal and what to expect to see in my next scan so there weren't any surprises. She took her time and was very professional and helpful.
Describe the protocols Alice Shapiro used in your cycles at RMA of Northern California and their degree of success.
We tried 3 IUI cycles which were unsuccessful the third was a medicated treatment to produce more eggs which was unsuccessful likely due to other medical I was on. The IVF cycle went great and we got 4 healthy embryos and I am currently 10 weeks pregnant after one transfer. At one point I was having really bad cramping but was already discharged from the clinic however when I messaged my concerns they got me in for an ultrasound the next day.
How competent was Alice Shapiro at LGBTQ+ care?
She always treated me and my wife as we were a couple addressing both of our questions regardless of how silly they may have sounded. She respected my wife as an equal partner and made us feel like any other couple trying to start a family.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Karina )
She was fantastic always answered questions on spruce within an hour. She went over my IVF medications several times and she even combined some of my ivf medication so that I wouldn't have to buy additional packs which can cost over 1k.
Describe your experience with RMA of Northern California.
Strengths: Their online app, their patience and understanding and they friendly nursing staff at the Danville location. The doctors at every location are good. The nurses for the IVF egg retrieval were great.
Weakness: Nursing staff and receptionist are less friendly at other locations.
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
40k
Describe Alice Shapiro's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
The clinic only allows single embryo transfer so the doctor had no say in how many embryos could be transferred. I also have no fertility issues so they may make exceptions for patients with fertility issues.
[Dr. Alice Shapiro] was very thorough at our initial consultation and never let us down throughout the entire process....had cycles with bad results...would always have a plan to try something new the next time...Communication was above and beyond anything we could have ever expected!
Spruce app that RMA [of Northern California] uses for communication is incredible. So easy to get in touch...responses usually come in within an hour or less...you get results timely and either by phone call or Spruce. Even when my doctor isn't on-call, the other doctors are always just as helpful.
How was your experience with Alice Shapiro at RMA of Northern California?
We felt an instant connection with Dr. Shapiro. She was very thorough at our initial consultation and never let us down throughout the entire process. We had cycles with bad results and she would always have a plan to try something new the next time and kept a positive outlook. Communication was above and beyond anything we could have ever expected!
What's one piece of advice would you give a prospective patient of Alice Shapiro at RMA of Northern California?
Don't be afraid to ask questions or schedule a phone call to get clarification on anything. She always makes herself available!
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
Dr. Shapiro always goes out of her way to check in and answer any and all questions. Without asking she would call, message or set up calls to go over results and next steps. She is always warm with her delivery and very compassionate.
Describe the protocols Alice Shapiro used in your cycles at RMA of Northern California and their degree of success.
We did 4 ER cycles with Dr. Shapiro. After the first one didn't yield any PGT normal embryos, she added in Clomid & Omnitrope for the 2nd (we did back to back) and this yielded 3 PGT normal embryos. The clomid also did seem to help produce more eggs retrieved for all future retrievals.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Sophia)
All of the nurses at RMA have been fantastic. Sophia is my main nurse and always great. Jordan has also been amazing and on top of things. In the Danville office, Sophiya (spelling?!) is just beyond amazing!
Describe your experience with RMA of Northern California.
The Spruce app that RMA uses for communication is incredible. So easy to get in touch and responses usually come in within an hour or less. During cycles you get results timely and either by phone call or Spruce. Even when my doctor isn't on-call, the other doctors are always just as helpful. Everyone is so warm and goes above and beyond.
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
I don't recall the exact costs, but RMA did offer a package thru Fertility Access to get 2 ER and unlimited transfers, which we elected to purchase.
Describe Alice Shapiro's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
I was only given the option to transfer a single embryo.
Dr. Shapiro is exceptional and incredibly knowledgeable...took time to answer all my questions patiently and made us feel confident in our journey....skilled professional but also very compassionate...felt genuinely cared for during every visit...“natural 5 day embryo transfer” after my egg retrieval
[RMA of Northern California] team also took really good care of me throughout my first transfer...Exceptional care! The entire team at RMA is friendly and efficient...cost us $32000 I.e., egg retrieval, ultrasounds, SIS, transfer cycles and blood works...Prompt service and a welcoming atmosphere. Clean and modern facility
How was your experience with Alice Shapiro at RMA of Northern California?
Dr. Shapiro is exceptional and incredibly knowledgeable, she took time to answer all my questions patiently and made us feel confident in our journey. She is not only a skilled professional but also very compassionate. I felt genuinely cared for during every visit.
I would highly recommend Dr. Shapiro for a successful and wonderful fertility journey :)
What's one piece of advice would you give a prospective patient of Alice Shapiro at RMA of Northern California?
My piece of advice is that one can blindly rely on her with utmost faith for a successful fertility journey.
During treatment, were you treated like a number or a human with Alice Shapiro at RMA of Northern California?
I felt very much like a human cause I had direct contact with Dr.Shapiro at every step and she made sure that I felt comfortable both mentally/physically in my IVF journey.
Along with Dr. Shapiro, her care team also took really good care of me throughout my first transfer and I’m 100% sure they’ll care of me the same way for my future transfers as well.
Describe the protocols Alice Shapiro used in your cycles at RMA of Northern California and their degree of success.
I was suggested a “natural 5 day embryo transfer” after my egg retrieval.
She recommended Letrozole medication for a successful ovulation to aid the transfer cycle and it clearly worked as expected.
I was prescribed progesterone and estrace for a month after transfer.
Describe your experience with the nursing staff at RMA of Northern California.
Exceptional care! The entire team at RMA is friendly and efficient. I had a great experience during all my visits. The attention to detail in patient care is evident.
Outstanding communication is their biggest strength, Prompt appointment scheduling and minimal wait time. The team is respectful of patients' time.
It's refreshing to encounter such positive energy at a healthcare facility. Big shoutout to all the hardworking staff!!
Describe your experience with RMA of Northern California.
Efficient and well-organized clinic. The entire team made my visit seamless.
Prompt service and a welcoming atmosphere.
Clean and modern facility. The attention to detail in patient care is evident. Highly recommended!
I wouldn’t change anything .
Describe the costs associated with your care under Alice Shapiro at RMA of Northern California.
It totally cost us $32000 I.e., egg retrieval, ultrasounds, SIS, transfer cycles and blood works.
Describe Alice Shapiro's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
She suggested us to go for a ‘single embryo transfer’ as it has low risks involved.
Dr Kort was very involved with managing my cycles even though the clinic rotates providers...secondary infertility...often messaged after appointments to provide his impressions and encouragement...2 cancelled transfer cycles and one cancelled retrieval due to early ovulation...Standard stim cycle
Strengths [of RMA of Northern California]: definitely all the clinical providers, all patient care...communication...medical staff were so supportive and skilled...Weakness: the finance team was a mess...were overcharged $12k ...took the financial staff almost EIGHT MONTHS to refund us
How was your experience with Jonathan Kort at RMA of Northern California?
We came to RMA with secondary infertility. Dr Kort was very involved with managing my cycles even though the clinic rotates providers. Though I saw many providers in person, Dr Kort often messaged after appointments to provide his impressions and encouragement.
We had a few unforeseeable setbacks including 2 cancelled transfer cycles and one cancelled retrieval due to early ovulation. Dr Kort always kept us in the loop on next steps and realistic expectations, so we weren’t left wondering.
In reference to his clinical skills, the one retrieval (out of 2) and one transfer (out of 2) that he personally performed were the most successful, resulting in more embryos and an ongoing (second trimester currently) pregnancy.
It was always reassuring to us whenever we felt down and anxious about treatment, that we had such an excellent doctor overseeing our care.
What's one piece of advice would you give a prospective patient of Jonathan Kort at RMA of Northern California?
Don’t hesitate to reach out with any questions or concerns. Dr Kort is so responsive and knowledgeable.
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
Dr. Kirk always made sure to call with any concerning findings, and whenever things went wrong, I could hear sympathy in his voice. He was available at all hours. Once, I messaged with a problem at night on the eve of what was supposed to be my first transfer with a problem that led to it being cancelled and to my surprise he called within 5 minutes in the evening after business hours.
Describe the protocols Jonathan Kort used in your cycles at RMA of Northern California and their degree of success.
Standard stim cycle:
1 week estrace priming, then
150 gonal f, 75 menopur
Estrace and clomid for first 5 stim days for suppression (the clomid was added for the second and third retrieval cycles
Ganirelix as antagonist after 7 days
Pregnyl trigger
Conventional fertilization
1st cycle: 7 follicles-7 eggs- 3 fertilized- 3 blasts- 3 euploid
2nd cycle: cancelled due to ovulation through Ganirelix day of trigger
3rd cycle: 11 follicles-11 eggs- 9 fertilized- 7 blasts- 6 euploid
First transfer cycle failed with no implantation after modified medicated (progesterone suppositories and trigger after estrace for suppression)
Second cycle cancelled due to early ovulation through estrace
Third cycle was a medicated protocol- 1ml progesterone IM injection per day, successful
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Sierra)
Everyone was very appropriate and compassionate, especially Tina. There was one issue where a nurse failed to recognize my iv wasn’t patent before an egg retrieval, but the anesthesiologist quickly resolved it.
Describe your experience with RMA of Northern California.
Strengths: definitely all the clinical providers, all patient care. The communication on patent care was excellent and the medical staff were so supportive and skilled.
Weakness: the finance team was a mess. We were overcharged $12k and it took the financial staff almost EIGHT MONTHS to refund us as we had to tread water, drawing out of our retirement accounts to cover living costs.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
$16k/retrieval
Transfers were covered so not sure
Describe Jonathan Kort's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
Only single embryos due to risk of multiple pregnancy
Jonathan Kort is a young doctor early in his career...was less authoritative than I would have liked him to be...was just there to administer the meds, execute the procedures, and hope for the best...had some challenging communication moments...he got very defensive and stormed out of the room (slamming the door behind him)
[RMA of Northern California] were welcoming and respectful...did not have LGBTQ+-specific expertise...We used donor sperm and it was easy to get it to the clinic...Strengths...App allows for near real-time communication...take (non-fertility) insurance for IUI...Drawbacks: - Billing practices...Inexperienced doctors
How was your experience with Jonathan Kort at RMA of Northern California?
Jonathan Kort is a young doctor early in his career (at the time of my treatment, he had just completed his fellowship a couple years prior). I originally thought that his recent training would mean that he had knowledge of the latest research and interventions -- and maybe he did. But in the future, I will seek out doctors with more experience.
Dr. Kort was less authoritative than I would have liked him to be. His answer was often along the lines of "it's up to you." Compared to other doctors, he didn't have a perspective on what would maximize my chances. It felt like he was just there to administer the meds, execute the procedures, and hope for the best.
The main reason I would never recommend Dr. Kort is that we had some challenging communication moments. For example, after a disappointing egg retrieval, I pushed him on why the doctors had not been more closely tracking my fertility during a year of IUIs. Though I was calm and diplomatic, he got very defensive and stormed out of the room (slamming the door behind him). I will give him credit for apologizing for his unprofessional behavior -- he called me later that day to apologize. But even the fact that his behavior warranted an apology is evidence of how inappropriate it was.
What's one piece of advice would you give a prospective patient of Jonathan Kort at RMA of Northern California?
Do not see Jonathan Kort.
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
Like a human: I appreciated that the doctors were always available to answer questions and respond to needs on the app. There was rarely a wait and visiting the clinic was easy.
Like a number: After visiting subsequent doctors, I came to realize that RMA used a protocol on me that in my opinion was not appropriate for my age or circumstances. Two other doctors were visibly shocked when I told them I was on 300 units FSH for my first retrieval. Looking back, it felt like they didn't really personalize the protocols. And this made me feel like a number.
Describe the protocols Jonathan Kort used in your cycles at RMA of Northern California and their degree of success.
As I mentioned in response to another question, I am not sure there was much strategy to my treatment, and a rationale was never shared with me.
I did five IUIs, one primed by Clomid and four by Letrozole.
My first egg retrieval, they used 300 units FSH and two vials of Menopur. Used Ganerelix during the course of the cycle and triggered w 40 units Lupron (twice) and 10,0000 units Novarel (once). We got two eggs and neither became embryos.
The second time, I was primed with Clomid (2 tablets of 50mg) for 5 nights, 50 units of Omnitrope every other night; 2 days in began 150 units of Gonal F, 150 units of Menopur. My aim was to do an IUI with injectables, but there were too many follicles to risk that (other doctors later told me this dose was too high for an IUI), so we ended up doing an egg retrieval. We got 12 eggs, 2 became embryos, and both were genetically abnormal.
How competent was Jonathan Kort at LGBTQ+ care?
All of the doctors were respectful, but they were by no means experts in LGBTQ+ care (I know from experience, as we later had care from an expert at another clinic, and the difference was stark). Someone told me that there are two approaches fertility clinics take to LGBTQ+ patients -- they either assume you are fertile and just need help with the logistics, or they treat you like you have diagnosed infertility when you do not. For the first year of my care at RMA, the doctors told me they believed I would get pregnant, that we just needed to get the right egg, that I was fertile. That I had time (I was 40). After some very disappointing results from a first egg retrieval, I pushed to check my AMH, which hadn't been checked in 15 months (other clinics check it multiple times annually for a patient 40+). It had plummeted in that time, from 2.5 to 0.9. I resent that the doctors did not approach my case with more urgency, given my age.
Describe your experience with your nurse at RMA of Northern California.
The nurses were always available to guide me through meds, consolidate vials, or whatever else I needed.
Describe your experience with RMA of Northern California.
Strengths:
- App allows for near real-time communication with doctors and nurses
- Rarely a wait time in Palo Alto office
- They take (non-fertility) insurance for IUI, which is very hard to find
Drawbacks:
- Billing practices. We realized they were sending us overlapping bills, which included items from past bills. We are lucky we caught it when we did; we had overpaid nearly $700 (and that amount would have increased had we not caught it). They also billed us for embryo biopsy and freezing for a cycle we had no embryos, which was irresponsible and also added insult to injury.
- Inexperienced doctors. The doctors who founded this clinic met in a fellowship just a handful of years ago. Fertility medicine is not a certain science, so it helps to have a doctor who has a deeply informed perspective from many years practicing.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
IUI cycles covered by insurance: $300
IVF cycles/no coverage: ~$20,000
How competent was RMA of Northern California at LGBTQ+ care?
They were welcoming and respectful, but did not have LGBTQ+-specific expertise.
Describe your experience using 3rd party reproduction (donor eggs, donor sperm, or gestational carrier) at RMA of Northern California.
The coordination was fine. We used donor sperm and it was easy to get it to the clinic.
What specific things went wrong at RMA of Northern California?
Failed to call with results
Failed to order appropriate test
Provided conflicting information
Failed to convey critical information
Describe the specific things that went wrong at RMA of Northern California.
Things that went wrong:
- Overbilled multiple times and had to advocate to have charges removed and refunded
- Not sufficient attention or care to my age and declining fertility (they were optimistic treatment would work for us, never discussed likelihood and actually hesitated to answer the question when asked directly, did not manage our expectations that this might not actually work).
- Unprofessional communications, when faced with a conflict with a client (as mentioned elsewhere, I asked Dr. Kort hard questions about my care protocol and he got defensive and stormed out of the room, later apologizing because the inappropriateness was that blantant)
Dr. Kaser took the time to know my wife and I personally. He was incredibly responsive to questions and messages at all hours. He was always supportive of our wishes....He was warm but also clear and relentless in his pursuit of our goals. When issues or setbacks did occur, he was incredibly thoughtful and responsive. I truly felt like I was in the best hands... Dr. Kaser was able to make the correct modifications and we ended up with 14 more PGT tested embryos. We did 1 transfer and it was successful...
The RMA clinic is extremely professional. They have an amazing staff all around, are accommodating of schedules and appointment times (I always got the appointment time I requested), have great facilities (very clean and modern, wonderful equipment)...Addie [nurse] was very clear and responsive any time I had a question, as was the rest of the care staff. Every issue was answered within literal minutes, even on weekends and evenings...
How was your experience with Daniel Kaser at RMA of Northern California?
Dr. Kaser is probably the best doctor I've ever had. He was warm but also clear and relentless in his pursuit of our goals. When issues or setbacks did occur, he was incredibly thoughtful and responsive. I truly felt like I was in the best hands.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Go with him! Trust him, and also feel comfortable asking any questions and reaching out whenever you feel like you need clarification or support.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dr. Kaser took the time to know my wife and I personally. He was incredibly responsive to questions and messages at all hours. He was always supportive of our wishes.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
I first did 2 IUIs. The second was successful but ended in miscarriage due to chromosomal issues. We decided to next pursue IVF. My first retrieval resulted in 3 PGT tested embryos. Because we want multiple children, we pursued a second retrieval right away. Dr. Kaser was able to make the correct modifications and we ended up with 14 more PGT tested embryos. We did 1 transfer and it was successful.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Addie)
Addie was very clear and responsive any time I had a question, as was the rest of the care staff. Every issue was answered within literal minutes, even on weekends and evenings.
Describe your experience with RMA of Northern California.
The RMA clinic is extremely professional. They have an amazing staff all around, are accommodating of schedules and appointment times (I always got the appointment time I requested), have great facilities (very clean and modern, wonderful equipment), and they get amazing results.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
We paid entirely out of pocket and it was very expensive. About $16k per retrieval, and $5k for transfer I believe?
Describe Daniel Kaser's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
I only wanted to transfer 1 embryo, and I believe that's the norm at RMA.
Dr. Kaser is quite literally the nicest, most empathetic doctor I have ever met. Even when he had lifestyle suggestions that could (and did!) improve results, he approached them in a very kind, medical way which made me really feel like he cared about my results and considered a lot of factors about who I was and what could improve the outcomes...I didn't see him that frequently in person for monitoring and other appointments, but he always responded so quickly to my questions and requests.
RMA is great because the entire team of doctors is fantastic and they do a lot of rotating depending on schedules. I love that they never closed... I also like that they move quickly and dont make you wait many weeks to move forward on steps...RMA has gotten really popular (as it should be), but I didn't see him [Dr. Daniel Kaser] that frequently in person for monitoring and other appointments, but he always responded so quickly to my questions and requests.
How was your experience with Daniel Kaser at RMA of Northern California?
As mentioned previously, Dr. Kaser is truly one of the best doctors I have ever worked with. He listened wholeheartedly when I described our family planning goals. He was realistic about outcomes and honestly more optimistic than I was, but it turned out to be correct. I wanted to do another retrieval before I transferred my last embryo and he felt like that was not worth while knowing I only wanted one more living child. Additionally, he was confident that my less well graded embryos were both worth transferring, which many people on the internet disagree with. I chose to trust him and not let instagram infographics get me down and he ended up being right. I really appreciated how smart and data driven Dr. Kaser was, but still straight forward and kind. He never made me feel overly confident but did let me know when he truly felt like giving X strategy a shot. I also appreciated how quick his response time was on Spruce. Frankly, RMA has gotten really popular (as it should be), but I didn't see him that frequently in person for monitoring and other appointments, but he always responded so quickly to my questions and requests. He also was very open when I asked if we could add meds or change protocols, and never acted like his toes were stepped on and was very collaborative and receptive. He is truly a fantastic doctor, and I think if you have a tricky case and want some out of the box thinking, with incredible bedside manner, he is absolutely worth whatever waiting list I'm sure he now has. I also appreciated that we moved very quickly through my cycles and didn't have to wait weeks or months between next steps which I know can be common at other clinics.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Ask all the questions and dont be afraid to say, "hey, ive heard about Xyz thing, could it hurt/help?, thoughts?".
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dr. Kaser is quite literally the nicest, most empathetic doctor I have ever met. Even when he had lifestyle suggestions that could (and did!) improve results, he approached them in a very kind, medical way which made me really feel like he cared about my results and considered a lot of factors about who I was and what could improve the outcomes.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
Did duostim and added omnitrope after a failed first retrieval. Second retrieval was way more fruitful.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Kristen M)
Very quick and responsive and would let me know if Dr. Kaser would be a while to respond to manage expectations, since he was otherwise very fast.
Describe your experience with RMA of Northern California.
RMA is great because the entire team of doctors is fantastic and they do a lot of rotating depending on schedules. I love that they never closed and that they have an office in Palo Alto for local monitoring. I also like that they move quickly and dont make you wait many weeks to move forward on steps.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
I used a fertility access multiple cycle package which I absolutely recommend if you are self pay and planning to do at least 2 retrievals.
Dr. Morin answered all of my questions promptly and was encouraging throughout the process. He did my first egg retrieval and transfer...He was kind for most of the process. A couple of times he came off as short-tempered. We all have good and bad days...you'll see any of the three doctors depending on the day/location...He only suggested transferring one. There's too much risk involved for mother and babies with a multiple embryo transfer and no reason for me to do that.
RMA has excellent doctors, staff, and facilities! It's nice to that there are 2 offices available and that they work every single day. No missed procedures because of holidays, weekends, etc. The support staff is tremendous - they are friendly, personable, and welcoming. The communication platform is extremely helpful so you can ask questions at any hour of the day...It was roughly $55-60K for two egg retrievals, two transfers, one D&C, and all the associated medication, testing, monitoring costs.
How was your experience with Scott Morin at RMA of Northern California?
At RMA, you'll see any of the three doctors depending on the day/location. Dr. Morin answered all of my questions promptly and was encouraging throughout the process. He did my first egg retrieval and transfer. Dr. Kaser did my second egg retrieval and transfer.
What's one piece of advice would you give a prospective patient of Scott Morin at RMA of Northern California?
You are in good hands. Do your research and and ask questions as needed.
During treatment, were you treated like a number or a human with Scott Morin at RMA of Northern California?
He was kind for most of the process. A couple of times he came off as short-tempered. We all have good and bad days.
Describe the protocols Scott Morin used in your cycles at RMA of Northern California and their degree of success.
For the first retrieval, I did 450 units of Follistim and 20 units of low does HCG daily to start and then introduced 1 vial of Ganirelix daily. For the second retrieval, I did 450 units of Follistim, 20 units of low dose HCG, 1 vial of Ganirelix, and 100 mg Clomid daily, and 50 units of omnitrope every other day. The reason for introducing Growth Hormone was to make my ovaries more responsive to the meds and improve the quality of the eggs some. Clomid got my body to produce more of its own FSH to supplement the Follistim and improve the response to treatment. I also began taking Levothyroxine in this process to bring down my TSH levels.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Angela)
I only ever saw my nurse once and that was during my orientation meeting. She seemed a bit flustered and overwhelmed. Every other person I interacted with was exceptional and outstanding. I miss them tremendously. They felt like family encouraging me through this process.
Describe your experience with RMA of Northern California.
RMA has excellent doctors, staff, and facilities! It's nice to that there are 2 offices available and that they work every single day. No missed procedures because of holidays, weekends, etc. The support staff is tremendous - they are friendly, personable, and welcoming. The communication platform is extremely helpful so you can ask questions at any hour of the day.
Describe the costs associated with your care under Scott Morin at RMA of Northern California.
It was roughly $55-60K for two egg retrievals, two transfers, one D&C, and all the associated medication, testing, monitoring costs.
Describe Scott Morin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
He only suggested transferring one. There's too much risk involved for mother and babies with a multiple embryo transfer and no reason for me to do that.
Dr. Kaser was wonderfully kind, knowledgable, and communicative. During the consultation, he quickly adapted to my level of medical literacy...and was able to explain things clearly and at the perfect level of detail...When messaging on Spruce, he responded exceptionally quickly (usually in minutes), and he seemed genuinely excited for me when the cycle had a really positive outcome...
All of the nurses and clinic staff [at RMA of Northern California] were awesome. Friendly, kind, caring, organized, prompt...Every time I reached out over Spruce, someone got back to me within minutes with the answer. Every person I interacted with was organized, competent, and kind. I never waited more than 10 minutes in the waiting room (usually less than 2 min) before being seen, and the facilities were top-of-the-line nice.
How was your experience with Daniel Kaser at RMA of Northern California?
I don't think I could have wished for a more competent and communicative physician. While I only got to see Dr. Kaser for the consultation (just the way the schedule worked out with him covering the SF clinic when I was down in Palo Alto, and vice versa), he was the one who usually answered my questions on Spruce (the messaging app), and the other providers I saw for the monitoring ultrasounds were lovely and had a good sense of what the plan was, so I would know when leaving the clinic what to expect for next steps. At my consultation, given the number of follicles on US, he explained clearly and kindly that there might be a reason to pursue workup for PCOS, which I had never thought/worried about before. The calm, accurate way he described why he thought I might have PCOS and what logical next steps would be to work it up with my PCP meant a lot, especially considering how surprised I was to get that news. Furthermore, the egg freezing cycle worked exceptionally well, with credit to him for planning and communicating such a successful strategy.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Come prepared with questions! He'll give a thorough overview of the process, but I think the best way to take advantage of his encyclopedic knowledge/expertise is to spend some time thinking about what particular questions *you* have about the process so that you can devote time in the consultation to that.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dr. Kaser was wonderfully kind, knowledgable, and communicative. During the consultation, he quickly adapted to my level of medical literacy (I'm a medical student at the moment) and was able to explain things clearly and at the perfect level of detail. He asked specifically about my goals and motivations, any concerns I had, and ensured there was ample time for me to ask questions (of which I had plenty). When messaging on Spruce, he responded exceptionally quickly (usually in minutes), and he seemed genuinely excited for me when the cycle had a really positive outcome.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
We used a standard antagonist protocol (Menopur + Gonal F for 6 days, then add Cetrotide on day 7), with a total of 12 days of stimulation. Menopur and Gonal F were both 150 to start, but Gonal F was upped to 225 when the Centrotide was added. Lupron trigger was used because I was high OHSS risk (lots of follicles, high AMH, very high estrodiol (~7000) by the end). Trigger (0.4 mL) was given 36 and 24 hours before retrieval, retrieval was on cycle day 15. Dr. Morin did the retrieval and got a whopping # of eggs (57!!), 49 of which were mature and frozen down.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Addie!)
All of the nurses and clinic staff were awesome. Friendly, kind, caring, organized, prompt. I'm sad I'm done in that I won't get to keep seeing them! Addie was the primary nurse I was assigned to, who was incredibly responsive and helpful. Meredith, an NP, did many of my monitoring ultrasounds and was also competent and kind. Katie, who did my blood draws, was a ray of sunshine. And Ashley, the PACU nurse who gave me a call the day after, was funny, kind, and made retrieval day a breeze. Everyone was a superstar!
Describe your experience with RMA of Northern California.
I did a TON of research before choosing RMA. I read every single review on here, Google, and Yelp of all the highest-rated clinics in the Bay Area before making my choice, which was informed by all the positive things that folks had to say about everyone who works there, from the physicians to the nurses to the staff, and I couldn't be happier with my choice, honestly. For a fast-moving process that can change quickly, having a clinic that EXCELS in communication (using Spruce, the messaging app) was a gift. Every time I reached out over Spruce, someone got back to me within minutes with the answer. Every person I interacted with was organized, competent, and kind. I never waited more than 10 minutes in the waiting room (usually less than 2 min) before being seen, and the facilities were top-of-the-line nice.
While the reviewing system here is I think designed to somewhat penalize physicians who don't manage to see their patients every time they come for a visit, I think RMA's model (where you're assigned a primary physician who will see you if they are at the same office as you are that day; but there's a chance you could also see another physician or an NP if they are at the other office) works extremely well. With Dr. Kaser available over Spruce seemingly 24/7, I didn't mind seeing different providers for the monitoring appointments, especially because everyone was clued in to the plan. In addition, the team approach made me feel like I had access to a bunch of talented and kind people, not just one! And RMA is small enough (and their providers good enough) that everyone knew me/called me by name from the first visit to the last, so I very much felt known by and valued by their team.
In addition, while I was willing to pay extra (none of this was covered by insurance, since it was elective and I have grad student insurance) for the best care, RMA ended up being *less* expensive than other top Bay Area clinics, so I feel like at the end of the day I got the best care AND at the best cost.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
I paid $11k out of pocket - $6.4 to RMA (with 20% discount because I work in healthcare), $650 to anesthesia, and $4k in meds (using Alto pharmacy). My insurance didn't cover any of it, so this was expected. I had planned $12k with a cushion up to $15, so coming in at $11 actually was slightly better than expected!
He [Dr. Kaser] was considerate, thorough, responsive, and made us feel like he not only knew what he was doing, he was invested in our outcome...He explained things succinctly and clearly, and was always open to my questions...His support made it possible for us to try again with a different treatment regimen. That second round was successful for us, and we ended up with three viable embryos...
RMA in Silicon Valley is wonderful. While Dan was my primary doctor, I also had great interactions with Jonathan and Scott. It was great for us to work with a clinic that had a small handful of doctors so we could get to know them but also have more flexibility if we needed to schedule something when my primary doctor was unavailable (which was rare)...[nurses are] Friendly, extremely competent, loved getting to know them a bit every time I came in for injections/checks...
How was your experience with Daniel Kaser at RMA of Northern California?
My partner and I had been working with a different clinic that wasn't a good match for us-- there had been delays to our treatment we didn't understand, we were always seeing different doctors.
Dan Kaser at RMA was recommended to me by a good friend, and my partner and I found him to be the exact right match for us. He was considerate, thorough, responsive, and made us feel like he not only knew what he was doing, he was invested in our outcome.
Our prognosis was good for our first round of IVF, however we experienced a set-back when I broke through the ovulation-delaying medication and all my eggs released before the retrieval. It was heartbreaking to have such an unexpected outcome at that early stage. It felt to us like Dan was on our team though, and he gave us hope. His support made it possible for us to try again with a different treatment regimen.
That second round was successful for us, and we ended up with three viable embryos-- one of which was successfully transferred. Our baby was born one week ago today!
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
He is really responsive and patient so make sure to ask him all the questions you have, don't feel like any question is off the table.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dan made me feel like a human because he was considerate, patient, and really present whenever we interacted. He explained things succinctly and clearly, and was always open to my questions. It felt like he was really invested in our success.
Describe your experience with the nursing staff at RMA of Northern California.
Friendly, extremely competent, loved getting to know them a bit every time I came in for injections/checks.
Describe your experience with RMA of Northern California.
RMA in Silicon Valley is wonderful. While Dan was my primary doctor, I also had great interactions with Jonathan and Scott. It was great for us to work with a clinic that had a small handful of doctors so we could get to know them but also have more flexibility if we needed to schedule something when my primary doctor was unavailable (which was rare). They were so generous and we're so grateful they helped us bring our baby into the world!
Dr Kort immediately understood that time was a priority for me and he adjusted to my schedule with the egg retrieval cycle. He even worked around my holiday schedule so we didn't have to cancel personal plans...While explaining the procedures clearly and professionally, Dr Kort also cared about my feelings and my mental well being...I generally received answers to all my questions within 15 minutes even outside business hours. We never had to feel anxious when waiting for fertilization rates or PGT results as we were updated in a timely manner.
There are 2 locations [of RMA of Northern California]. Palo Alto and SF. They offer monitoring appointments in either location. If you have a strong preference to be seen by the same doctor you might need to alternate between the 2 locations. If you prefer to always go to the same location, the doctors are rotating. They only operate in SF. Egg retrieval and transfer are only in SF...[nurse] Responds in a timely manner within 15 minutes via spruce instant messaging system...
How was your experience with Jonathan Kort at RMA of Northern California?
Dr Kort is knowledgeable, professional and kind. His best interest is for us to have not just a healthy pregnancy but also a healthy baby who will grow up to be a healthy human being later on in life. Dr Kort never left us in doubt or in waiting about results at different stages of our egg retrieval cycle or PGT testing. He and his team respond quickly, no question is a bad question, they answered every time I had the smallest concerns. A different clinic put me on a waitlist, that is when I changed to RMA. Dr Kort immediately understood that time was a priority for me and he adjusted to my schedule with the egg retrieval cycle. He even worked around my holiday schedule so we didn't have to cancel personal plans. Despite the successful egg retrieval we ended up conceiving naturally, and Dr Kort was the happiest for us. It is a testimony that they don't look at patients as numbers or mere paying customers. He made sure to monitor my pregnancy hormone levels until my OBGYN was ready to take me on. Dr Kort is still available to me for the next few months via their spruce instant messaging system in case I have any questions. He is a fantastic doctor, and so is his entire team.
What's one piece of advice would you give a prospective patient of Jonathan Kort at RMA of Northern California?
Trust Dr Kort, and trust the treatment plan. 1st egg retrieval cycle is a learning experience for both doctors and patients to see how the body responds to the hormones. 2nd cycle he made some personalized adjustments for me which yielded much better results. His best interest is for his patients to have a healthy pregnancy. Trust him.
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
While explaining the procedures clearly and professionally, Dr Kort also cared about my feelings and my mental well being. We changed clinics to see RMA as the other clinic put me on a waitlist unannounced. Dr Kort made sure he was always keeping us updated about anything treatment related in a timely manner, so we could make educated decisions. I generally received answers to all my questions within 15 minutes even outside business hours. We never had to feel anxious when waiting for fertilization rates or PGT results as we were updated in a timely manner. We also ended up conceiving naturally, and the clinic and Dr Kort was so happy for us, despite losing a paying patient. OBGYNs typically don't see pregnant women until 8-9 weeks but Dr Kort ensured that RMA confirmed my pregnancy via blood test and monitored my pregnancy hormone levels until I was ready to graduate to my OBGYN. They still offer support via their spruce messaging system for a few more months.
Describe the protocols Jonathan Kort used in your cycles at RMA of Northern California and their degree of success.
During my first round of egg retrieval at a different clinic, I had 1 genetically healthy embryo out of 13 eggs retrieved. In my 2nd cycle with Dr Kort I had 3 genetically healthy embryos out of 13 eggs retrieved. Basically ball blastocysts were genetically healthy.
I used gonal f pen, menopur, cetrotide antagonist and Lupron trigger in my first cycle. In my second cycle I had a higher dosage of gonal f and also human growth hormone every other day. The rest was the same.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Kristen Montecinos)
Responds in a timely manner within 15 minutes via spruce instant messaging system. No question was a bad question, like can I take turmeric supplements or is my bruising from injections "normal looking".
Describe your experience with RMA of Northern California.
There are 2 locations. Palo Alto and SF. They offer monitoring appointments in either location. If you have a strong preference to be seen by the same doctor you might need to alternate between the 2 locations. If you prefer to always go to the same location, the doctors are rotating. They only operate in SF. Egg retrieval and transfer are only in SF.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
Roughly $30,000 for one round of egg retrieval including hormone injections, human growth hormone, genetic testing of the embryos. We only had to pay the out of pocket responsibility and copay according to our insurance.
Before even starting IVF, Dr. Kaser ordered several routine examinations since I hadn't been menstruating including a SIS and discovered that I have scarring in my uterus and fallopian tubes. He performed a laparoscopy so successfully that I only needed that one surgery and then we continued with IVF and egg retrieval, etc. When we did my egg retrieval I had 57 eggs retrieved due to PCOS, and he had me use a lupron trigger which prevented me from getting OHSS. During my preparation for embryo transfer I did progesterone injections, took estrogen pills orally, and also a thyroid med.
I loved all the nurses, admin, and everybody working at both the Silicon Valley and SF clinic [RMA of Northern California]. They knew me as soon as I walked in and were very warm and sweet. Scheduling appointments was super easy, they use Spruce as a texting service and literally responded within 10 minutes every time I sent them a message. My friends were shocked when I told them I could text my doctor...
How was your experience with Daniel Kaser at RMA of Northern California?
I LOVED working with Dr. Kaser. He was such an amazing doctor and I always left feeling really positive and optimistic. He did all of my major procedures (egg retrieval and transfer) which was awesome. He has such a good bedside manner, is very calm and patient, and just a warm genuine person to be around. The other doctors also helped with routine ultrasounds, communication, etc and they are all so nice. I would 100% recommend Dr. Kaser or any of the doctors at RMA.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Don't hesitate to have him as your doctor! He is amazing.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Dr. Kaser had the best bedside manner, was always positive and optimistic, and spent a lot of time with my husband and I when we had questions.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
Before even starting IVF, Dr. Kaser ordered several routine examinations since I hadn't been menstruating including a SIS and discovered that I have scarring in my uterus and fallopian tubes. He performed a laparoscopy so successfully that I only needed that one surgery and then we continued with IVF and egg retrieval, etc.
When we did my egg retrieval I had 57 eggs retrieved due to PCOS, and he had me use a lupron trigger which prevented me from getting OHSS. During my preparation for embryo transfer I did progesterone injections, took estrogen pills orally, and also a thyroid med.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Angela)
Angela was pretty good. She did a good job explaining the medications and being responsive via text.
Describe your experience with RMA of Northern California.
I loved all the nurses, admin, and everybody working at both the Silicon Valley and SF clinic. They knew me as soon as I walked in and were very warm and sweet. Scheduling appointments was super easy, they use Spruce as a texting service and literally responded within 10 minutes every time I sent them a message. My friends were shocked when I told them I could text my doctor.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
We were so lucky to have amazing fertility insurance so we just had to pay our deductible which was about $500, and then co-pays for the meds. Very very lucky.
Describe Daniel Kaser's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
He [Dr. Kort] tried so many creative methods when essentially everything failed, and always asked me if I was okay with treatments and listened to my many questions...Dr. Kort is so kind to the extent that he might shy away from being as blunt as necessary (I felt that way, at least - he just doesn't want to scare you with bad news before it's for certain, which is totally understandable). So, don't be afraid to ask hard questions if you want to know all the odds and adversities you could face!...
RMA is hands down an incredible clinic. You're always seen by a physician for your ultrasounds...you're always treated extremely well by literally everyone that works there - from the receptionists to the embryologists. Their texting/telemedicine app Spruce is so handy and easy to use. They message you so promptly and never failed to give me instructions, updates...The nursing/medical assistant staff at RMA is just as incredible as the physicians...
How was your experience with Jonathan Kort at RMA of Northern California?
Dr. Kort cares so much about his patients and you can tell he's just genuinely a very good human. My one "qualm" is that he was a little too optimistic about my case, but frankly, no one could have known the results would be so poor. My case is extremely severe and rare for someone my age, so I do not blame him for being hopeful. He tried so many creative methods when essentially everything failed, and always asked me if I was okay with treatments and listened to my many questions. Being a bit of a smarty-pants myself, I know I am a difficult patient that always wants to understand the what and the how, does maybe a little too much PubMed research on her own, and is always thinking two steps ahead. I appreciate Dr. Kort so much for still treating me with patience and kindness. My friends in medicine jokingly say that I'm basically a physician's worst nightmare with my "know it all" ways, yet Dr. Kort never made me feel that way and always had my best interest at heart.
What's one piece of advice would you give a prospective patient of Jonathan Kort at RMA of Northern California?
Dr. Kort is so kind to the extent that he might shy away from being as blunt as necessary (I felt that way, at least - he just doesn't want to scare you with bad news before it's for certain, which is totally understandable). So, don't be afraid to ask hard questions if you want to know all the odds and adversities you could face!
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
Dr. Kort was so kind to me from the get go. I walked into RMA thinking this would be a two week process given my young age (I was 26), and instead, found out I was perimenopausal and basically had ran out of eggs. Dr. Kort is compassionate and really understands the weight of all the bad news he has to share with me when things go wrong (which has been, essentially, all the time). If anything, I feel bad for putting him in a position where he has to consistently tell me things aren't going well, but he never seems to lose his patience with me or give up. I'm so beyond grateful for all that Dr. Kort taught me and the knowledge he brought into my life. Also, my wonderful GYN was one of his instructors during his residency/fellowship and was thrilled when I told her who my RE was. She said he was one of the nicest physicians she's ever trained!
Describe the protocols Jonathan Kort used in your cycles at RMA of Northern California and their degree of success.
I have used so many different protocols. Clomid priming, Letrozole priming, high amounts of Gonal F/Menopur, natural retrievals, Omnitrope, etc. My body basically didn't respond to any of them, but that's on me and my genetic condition, not on Dr. Kort.
Describe your experience with the nursing staff at RMA of Northern California.
The nursing/medical assistant staff at RMA is just as incredible as the physicians. They're SO nice, compassionate, and I feel like they genuinely became my friends. When I went in for my (many) retrievals and procedures, I loved catching up with them, they knew me well and asked about my life. I genuinely feel like part of the RMA family and will miss them so much once I'm no longer a patient.
Describe your experience with RMA of Northern California.
RMA is hands down an incredible clinic. You're always seen by a physician for your ultrasounds, and I became basically just as close to Dr. Kaser and Dr. Morin as I did with Kort. They even did some of my retrievals/hysteroscopy, but I never felt uncomfortable or like I was a stranger. My friends who had Dr. Morin as their RE also rave about him, and I can see why. Whenever you go in, you're always treated extremely well by literally everyone that works there - from the receptionists to the embryologists.
Their texting/telemedicine app Spruce is so handy and easy to use. They message you so promptly and never failed to give me instructions, updates, etc. I know I'm a high maintenance patient, so I appreciated that. If Dr. Kort wasn't available, Morin or Kaser would get back to me super quickly, too.
I can't think of any weaknesses, frankly. All the doctors are such hard workers and clearly trying their best with every patient. I can tell they're not just in it for the money, but they truly want to help people build their families. I have sent multiple friends to RMA for egg freezing, and not a single one of them has had a bad experience.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
I had my treatment covered by Progyny, so I'm not aware of the costs.
Describe Jonathan Kort's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
We did not get to that point as my one embryo was non-viable, sadly.
Dr. Kort never rushed our appointments and always spent time explaining things to me if I had questions...very compassionate, thorough, and careful. I felt like he always had my best interests in mind, and I trusted his judgment and treatment recommendations. He was also extremely responsive though the Spruce messaging app whenever I had any questions or concerns...would only allow eSET given my age and diagnosis...Antagonist Protocol: Day 1-3: 225iu Gonal F, 1 vial Menopur Day 4-5: 175iu Gonal F, 1 vial Menopur Day 6-8: 175iu Gonal F, 1 vial Menopur, 1 vial Cetrotide Day 9-10: 40 units Lupron This cycle produced 42 eggs (37 mature eggs) and 13 PGS-tested embryos...
They [staff at RMA of Northern California] were easy to contact (all comms handled through the Spruce app) and it was always easy to get an appointment. The only negative I can think of is that you will not see your primary doctor for every appointment, but I still was fine with the other doctors I saw...Monitoring appointments were during a 7-9am walk-in window. It did get very, very busy at certain times and I had to wait 10-20 minutes
How was your experience with Jonathan Kort at RMA of Northern California?
Dr. Kort is very compassionate, thorough, and careful. I felt like he always had my best interests in mind, and I trusted his judgment and treatment recommendations. He was also extremely responsive though the Spruce messaging app whenever I had any questions or concerns.
What's one piece of advice would you give a prospective patient of Jonathan Kort at RMA of Northern California?
Ask questions, and he'll be happy to spend time answering them. Otherwise he may not bring up every single detail and aspect of your treatment.
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
Dr. Kort never rushed our appointments and always spent time explaining things to me if I had questions.
Describe the protocols Jonathan Kort used in your cycles at RMA of Northern California and their degree of success.
Antagonist Protocol:
Day 1-3: 225iu Gonal F, 1 vial Menopur
Day 4-5: 175iu Gonal F, 1 vial Menopur
Day 6-8: 175iu Gonal F, 1 vial Menopur, 1 vial Cetrotide
Day 9-10: 40 units Lupron
This cycle produced 42 eggs (37 mature eggs) and 13 PGS-tested embryos.
Describe your experience with the nursing staff at RMA of Northern California.
I had no negative interactions with the nursing staff. All the nurses were kind, compassionate, and knowledgable.
Describe your experience with RMA of Northern California.
This clinic seemed well-equipped to treat someone with my diagnosis. They were easy to contact (all comms handled through the Spruce app) and it was always easy to get an appointment. The only negative I can think of is that you will not see your primary doctor for every appointment, but I still was fine with the other doctors I saw.
Describe your experience with your monitoring appointments at RMA of Northern California.
Monitoring appointments were during a 7-9am walk-in window. It did get very, very busy at certain times and I had to wait 10-20 minutes. With COVID-19 protocols, the walk-in window turned into mandatory scheduled appointments. When this happened, there was no wait.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
My costs were covered under my health insurance.
Describe Jonathan Kort's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
My doctor would only allow eSET given my age and diagnosis.
Dr Morin was the first RE we had ever seen. His passion and compassion were very reassuring. Unfortunately, we didn't know enough about IVF at the time to educate and advocate for ourselves better as loads of critical details got lost and/or weren't explored enough...Neither my husband nor I underwent further medical examinations other than the genetic screening, ie no semen analysis, no uterus exam - nothing...Treatment protocols are heavily geared towards medications, no alternative suggestions like acupuncture, nutrition or supplements.
[RMA of Northern California] Strengths: very likeable, easy to reach via messaging app Weaknesses: cookie-cutter treatment approach, ie one size fits all, lack of thorough pre-exams to exclude potential other risks, disregard for alternative and/or complimenting approaches like supplements, acupuncture etc...Monitoring at Palo Alto office was only offered during the week during the morning hours. All procedures took place in SF which wasn't very convenient.
How was your experience with Scott Morin at RMA of Northern California?
Dr Morin is very likeable and personable so we immediately warmed up to him. He definitely comes across as someone you'd want to be friends with.
From a treatment perspective we were too new to this journey to realize the lack of depth and options. Neither my husband nor I underwent further medical examinations other than the genetic screening, ie no semen analysis, no uterus exam - nothing.
He's a big proponent of IVF being a numbers game, ie keep retrieving until you get that one embryo that'll stick. Treatment protocols are heavily geared towards medications, no alternative suggestions like acupuncture, nutrition or supplements.
We left RMA after our failed transfer as we didn't feel confident about this numbers game. We would have preferred to explore all possible options to include changes that might have made even a small difference.
What's one piece of advice would you give a prospective patient of Scott Morin at RMA of Northern California?
He's very likeable and personable, however, his approach seems very inflexible and 'one size fits all' rather than personalizing treatment plans.
During treatment, were you treated like a number or a human with Scott Morin at RMA of Northern California?
Dr Morin was the first RE we had ever seen. His passion and compassion were very reassuring. Unfortunately, we didn't know enough about IVF at the time to educate and advocate for ourselves better as loads of critical details got lost and/or weren't explored enough.
Describe the protocols Scott Morin used in your cycles at RMA of Northern California and their degree of success.
First retrieval: standard protocol
Second retrieval: micro-lupron protocol
Third retrieval: include omnitrope
Fourth retrieval: micro-lupron protocol
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Everyone was great)
RMA staff were great, like your personal group of cheerleaders rooting for your success.
Describe your experience with RMA of Northern California.
Strengths: very likeable, easy to reach via messaging app
Weaknesses: cookie-cutter treatment approach, ie one size fits all, lack of thorough pre-exams to exclude potential other risks, disregard for alternative and/or complimenting approaches like supplements, acupuncture etc
Describe your experience with your monitoring appointments at RMA of Northern California.
Monitoring at Palo Alto office was only offered during the week during the morning hours. All procedures took place in SF which wasn't very convenient.
Describe the costs associated with your care under Scott Morin at RMA of Northern California.
~$20k per retrieval, ~$8k per transfer, all excl. meds
Describe Scott Morin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
He [Dr. Scott Morin] is warm, kind, compassionate, realistic, extremely knowledgable, and relaxed. You can feel how much he cares about his patients, so much so, that I always felt like I was his only patient. :) Before meeting Dr. Morin we interviewed four other doctors in the area and none even came close. After every doctors appointment the first words that came out of my mouth were how happy I was to be on Dr. Morin's team. This process was truly made so much better because of the wonderful team that was behind me. Dr. Morin is a rockstar!!!
Dr. Morin and his team [at RMA of N. California] have both offices in SF and PA, making it easy to always get an appointment. The Palo Alto office is right off the freeway as well!... Their offices are new, clean, comfortable and convenient. From the very beginning, Dr. Morin, Dr. Kort, Luciana, and their amazing team understand your goals and who YOU are making the entire process so wonderful. Before meeting Dr. Morin I was confused, didn't know what to do, and felt stuck. From the first handshake I knew I was in the right place. I was being guided and taken care of, something that had been missing for so long.
How was your experience with Scott Morin at RMA of Northern California?
I couldn't wait to write this review for Dr. Morin. From the moment my husband and I met him we felt like we were 100% in the right place. He is warm, kind, compassionate, realistic, extremely knowledgable, and relaxed. You can feel how much he cares about his patients, so much so, that I always felt like I was his only patient. :) Before meeting Dr. Morin we interviewed four other doctors in the area and none even came close. After every doctors appointment the first words that came out of my mouth were how happy I was to be on Dr. Morin's team. This process was truly made so much better because of the wonderful team that was behind me. Dr. Morin is a rockstar!!!
What's one piece of advice would you give a prospective patient of Scott Morin at RMA of Northern California?
Dr. Morin and his team have both offices in SF and PA, making it easy to always get an appointment. The Palo Alto office is right off the freeway as well!
During treatment, were you treated like a number or a human with Scott Morin at RMA of Northern California?
Dr. Morin and his team treated me like I was a person and not a number in their system. From the moment I stepped into their office I felt like there was now a team rooting me on and focusing all their efforts on getting me to my goal. Any little question I had was answered and remembered. I have never felt more like a human at a doctors office in my life. Can't stress this one enough!!
Describe the protocols Scott Morin used in your cycles at RMA of Northern California and their degree of success.
I was taught how to do all shots at home (much easier than anticipated), would come into the office almost every day for monitoring before the egg retrieval to make sure everything was going exactly to plan. We got a great number of eggs that made beautiful embryos and it worked on the first try!
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Luciana)
Luciana and the entire nursing staff at RMA was OUT OF THIS WORLD!!! Every time I stepped into the office I was greeted with smiles, hugs, and conversation that was real. They were always available and were there cheering me on through every step. They never missed a beat and always left me feeling so positive and excited for what was to come. I could go on and on...
Describe your experience with RMA of Northern California.
Their offices are new, clean, comfortable and convenient. From the very beginning, Dr. Morin, Dr. Kort, Luciana, and their amazing team understand your goals and who YOU are making the entire process so wonderful. Before meeting Dr. Morin I was confused, didn't know what to do, and felt stuck. From the first handshake I knew I was in the right place. I was being guided and taken care of, something that had been missing for so long.
Describe the costs associated with your care under Scott Morin at RMA of Northern California.
I don't remember off hand, but was inline with the other four clinics we interviewed.
Describe Scott Morin's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.
Dr. Morin's approach was spot on, we wanted a healthy pregnancy and his knowledge of how to achieve that worked well for my husband and I.
Dr. Morin and his team treated us with great care and respect throughout the process. He explained the whole process and answered all the questions we had...He is responsive and patient with questions and clarifications. Extremely supportive. He finds ways to make everything as easy as possible on you...We used Gonal F, Menorpur, Cetrotide before egg retrieval, followed by progesterone and estrogen before and after implantation. This resulted in a successful retrieval of 14 eggs, all of them were mature, 11 fertilized and 7 made it to blast stage for freeze.
The nurses at RMA of Northern California are amazing! Angela was my go-to for meds, procedure instruction and results, she is an angel. If Angela was not around, the other nurses were also just as sweet and helpful. They were all very clear and thorough, which I always appreciated...The clinic runs pretty smoothly and the staff there is very friendly. Very organized. From scheduling appointments, meeting with the genetic counselor, etc. The location is good, the clinic looks new and clean.
How was your experience with Scott Morin at RMA of Northern California?
Dr. Morin is amazing. I had a wonderful experience and am so glad I went with him. Dr. Morin treats us like human and takes the time to explain everything, our concerns, process etc. He is responsive and patient with questions and clarifications. Extremely supportive. He finds ways to make everything as easy as possible on you. The whole process we went with Dr. Morin can't be smoother and more pleasant. I would recommend him to my friends!
During treatment, were you treated like a number or a human with Scott Morin at RMA of Northern California?
Dr. Morin and his team treated us with great care and respect throughout the process. He explained the whole process and answered all the questions we had.
Describe the protocols Scott Morin used in your cycles at RMA of Northern California and their degree of success.
We had only one IVF round and it succeeds! We used Gonal F, Menorpur, Cetrotide before egg retrieval, followed by progesterone and estrogen before and after implantation. This resulted in a successful retrieval of 14 eggs, all of them were mature, 11 fertilized and 7 made it to blast stage for freeze.
Describe your experience with the nursing staff at RMA of Northern California.
The nurses at RMA of Northern California are amazing! Angela was my go-to for meds, procedure instruction and results, she is an angel. If Angela was not around, the other nurses were also just as sweet and helpful. They were all very clear and thorough, which I always appreciated.
Describe your experience with RMA of Northern California.
The clinic runs pretty smoothly and the staff there is very friendly. Very organized. From scheduling appointments, meeting with the genetic counselor, etc. The location is good, the clinic looks new and clean.
He has been very informative and understanding. Dr. Kort has communicated extremely well with me even after our consultation. He has never sugar coated information to tell me what I want to hear, but was able to talk about options that could realistically help us to conceive through IVF. ... Dr. Kort was very kind and compassionate. He took the time to answer all of our questions during the consultation, and made us feel heard.
I was seen in the Palo Alto Clinic [RMA of Northern California] for our consultation. It was a very clean and welcoming environment. The Palo Alto location has more limited hours compared the SF clinic. They do monitoring at both locations, however to my understanding all procedures are done at the SF location. ... Egg retrieval costs (including ICSI): $14,000 without medication
How was your experience with Jonathan Kort at RMA of Northern California?
He has been very informative and understanding. Dr. Kort has communicated extremely well with me even after our consultation. He has never sugar coated information to tell me what I want to hear, but was able to talk about options that could realistically help us to conceive through IVF.
During treatment, were you treated like a number or a human with Jonathan Kort at RMA of Northern California?
Dr. Kort was very kind and compassionate. He took the time to answer all of our questions during the consultation, and made us feel heard.
Describe your experience with RMA of Northern California.
I was seen in the Palo Alto Clinic for our consultation. It was a very clean and welcoming environment. The Palo Alto location has more limited hours compared the SF clinic. They do monitoring at both locations, however to my understanding all procedures are done at the SF location.
Describe the costs associated with your care under Jonathan Kort at RMA of Northern California.
Egg retrieval costs (including ICSI): $14,000 without medication
Dr. Kaiser has made sure that he offered the best care and support in every procedure that we went through and made sure we stayed positive throughout the process...treated us with utmost care and compassion
[At RMA of Northern California] we were met with compassion, professionalism, and an unwavering commitment to our journey. The knowledgeable and empathetic doctors and nurses made every step of the process clear and manageable
How was your experience with Daniel Kaser at RMA of Northern California?
Dr. Kaiser has made sure that he offered the best care and support in every procedure that we went through and made sure we stayed positive throughout the process. His expertise helped our dream come true.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Continue to be the best you are now!
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
Doctor treated us with utmost care and compassion
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: April)
April kept us updated and shared all the steps and knowledge in every step and made sure we never felt lost or helpless. Special thanks to all the other staff at the labs, clinic and the ORs.
Describe your experience with RMA of Northern California.
We cannot express enough how grateful We are for the exceptional care and support provided by RMA, Northern California. From the moment we walked through their doors, we were met with compassion, professionalism, and an unwavering commitment to our journey. The knowledgeable and empathetic doctors and nurses made every step of the process clear and manageable, offering us hope and reassurance when we needed it most. Thanks to their expertise and personalized approach, we are now expecting a child, and we truly believe that their dedication made all the difference. Dr. Kaiser has made sure that he offered the best care and support in every procedure that we went through and made sure we stayed positive throughout the process. His expertise helped our dream come true. April kept us updated and shared all the steps and knowledge in every step and made sure we never felt lost or helpless. Special thanks to all the other staff at the labs, clinic and the ORs. I highly recommend RMA to anyone seeking fertility assistance; they truly offer a beacon of hope and a path to success.
I only see Dr. Kaser once during the treatment phase, and the other doctors I have seen during the ultrasound never answered my question. Whenever I asked a question, the doctor would say " Dr. Kaser will explain". However, Dr. Kaser rarely answer my questions delicately, and the communication channel is very limited....
During the whole process of IVF in this clinic, I do not feel I am getting personalized treatment. Both my parter and I feel like we are treated by a computer machine, and no human behind to analysis our case. The doctors do not listen to our concerns or consider our suggestions based on our own experience...The nurse only communicated through Spruce of the medications to take, and never send me ultrasound results until I asked for.
How was your experience with Daniel Kaser at RMA of Northern California?
I met with Dr. Kaser during the consultation for one hour. Dr. Kaser seemed very professional that time, but kind of pushy for us to start right away after the consultation. After the consultation, there was no explaining of our bloodwork results, whether good or bad. And during the whole treatment, I only saw Dr. Kaser once, and the other doctors I have seen during the morning monitoring did not answer my question as they said “Dr. Kaser will have a plan”. So I tried to use spruce for more answers e..g why my eggs is not consistently growing, and whether we should reduce the dose or change protocol based on the results. Dr. Kaser never get back to me with any explanation. I was very frustrated as I thought this clinic should be good based on the reviews. It turns out the complete opposite way, so I doubted that those reviewed may be fake by friends or employees. After the egg retrieval, Dr. Kaser never share the results with me until I asked.
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
I would advise Dr. Kaser listens to his patients, and pay more attention to each case, instead of treat every patient like a number, as it is a very important decision for each patient who decides to go through IVF.
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
I only see Dr. Kaser once during the treatment phase, and the other doctors I have seen during the ultrasound never answered my question. Whenever I asked a question, the doctor would say " Dr. Kaser will explain". However, Dr. Kaser rarely answer my questions delicately, and the communication channel is very limited.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
There was no strategy or rational explained by Dr. Kaser. It was my first time IVF, only the nurse communicated what doses of medications through Spruce.
Describe your experience with your nurse at RMA of Northern California. (Assigned nurse: Addie)
The nurse only communicated through Spruce of the medications to take, and never send me ultrasound results until I asked for.
Describe your experience with RMA of Northern California.
For a new patient, my advise is to do more research on fertility IQ and have more consultations prior deciding to go with RMA. If a doctor give you a protocol, please make sure to ask the rational and what's their strategy instead of been treated like a number. The reviews online can be fake.
Describe your experience with your monitoring appointments at RMA of Northern California.
I only had 4 early monitoring, and twice with another doctor, once with Dr. Kaser, and once with a nurse. Overall, it is on time, but I do not feel like they care about me.
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
This is through insurance and almost all covered.
What specific things went wrong at RMA of Northern California?
Lost paperwork
Failed to call with results
Lost results
Failed to convey critical information
Failed to consider drug intolerance
Describe the specific things that went wrong at RMA of Northern California.
During the whole process of IVF in this clinic, I do not feel I am getting personalized treatment. Both my parter and I feel like we are treated by a computer machine, and no human behind to analysis our case. The doctors do not listen to our concerns or consider our suggestions based on our own experience.
I always felt he [Dr. Kaser] made time for us -- and no question was too small...every cycle we got better results and he ultimately found a protocol that got us good quality embryos...I didn't see him every time (the clinic is split between 2 locations and I went to the one most convenient for me) -- but I liked knowing he was in charge of my care throughout, and I never felt like he wasn't my doctor the whole time...
The clinic [RMA of Northern California] is run very efficiently and the Spruce app makes communication super efficient and easy...Very efficient. Yes, it's not super small, but I knew everyone and always felt like a patient -- not just a number. Convenient satellite office in Palo Alto. They had good references for acupuncture and obs, etc...The nurses in the office who drew my blood were the greatest...
How was your experience with Daniel Kaser at RMA of Northern California?
I cannot recommend Dr Kaser enough. He is an absolutely fantastic care giver. Were their times early on when I didn't understand everything? Yes. After the first not-so-great cycle, did I feel like I hadn't been fully prepared for the chance things wouldn't go so great? Yes. But, Dr Kaser did his best -- IVF is honestly trial and error, and every cycle we got better results and he ultimately found a protocol that got us good quality embryos. But at every moment, I felt Dr Kaser was so caring, compassionate, and always devoted time and answered my questions in the clinic app or called when I asked to speak. I didn't see him every time (the clinic is split between 2 locations and I went to the one most convenient for me) -- but I liked knowing he was in charge of my care throughout, and I never felt like he wasn't my doctor the whole time. He provided us the information we needed, and we felt cared for and informed. Today, I am 20 weeks pregnant after 4 cycles of embryo retrievals and 1 frozen embryo transfer. I think Dr. Kaser for this so much!
What's one piece of advice would you give a prospective patient of Daniel Kaser at RMA of Northern California?
Ask as much information as you want and need to know. He will answer!
During treatment, were you treated like a number or a human with Daniel Kaser at RMA of Northern California?
My husband and I simply love Dr Kaser. We worked with him for a year, and from the very first consult to the last time we saw him (because we moved onto an OB), I always felt he made time for us -- and no question was too small. I felt he genuinely cared for me and my husband, and it felt good to know he had gone through the process in his own way.
Describe the protocols Daniel Kaser used in your cycles at RMA of Northern California and their degree of success.
PCOS -- with high risk of OHSS. lower dose antagonist protocol with lupron trigger - but the cycles using the HCG trigger in addition (though led me closer to OHSS) gave me the best egg quality.
Describe your experience with the nursing staff at RMA of Northern California.
The clinic is run very efficiently and the Spruce app makes communication super efficient and easy. Such a difference compared to others I know at other clinics who had to call. I didn't quite keep track of the nurses who interacted with me via Spruce -- i just always knew someone was there and could answer. The nurses in the office who drew my blood were the greatest! I loved them and we always had great chats!
Describe your experience with RMA of Northern California.
Very efficient. Yes, it's not super small, but I knew everyone and always felt like a patient -- not just a number. Convenient satellite office in Palo Alto. They had good references for acupuncture and obs, etc. Highly recommend!
Describe the costs associated with your care under Daniel Kaser at RMA of Northern California.
fully covered under insurance - progyny
Describe Daniel Kaser's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at RMA of Northern California.